摘要
目的探讨胆总管下段医源性损伤后不同的胆道再手术方法。方法回顾性分析重庆医科大学附属第一医院2005年6月至2015年9月收治的8例胆总管下段医源性损伤的临床资料。结果8例中，2例采用胆总管局部修补，3例行Oddi括约肌切开成形，1例行胆管空肠Roux-en-Y吻合，1例直接行胰十二指肠切除，1例采用充分引流，术后均治愈出院，住院时间22~46d，平均住院时间为31．5d。结论根据损伤的具体部位、破口大小、合并症及发现时间的早晚，对不同病人采取个体化治疗；对胆总管下段损伤的预防及早期处理至关重。
Objective To investigate the different reoperations of the trauma in end part of com- mon bile duct. Methods The clinical data of 8 cases of iatrogenic bile duct injuries admitted at Depart- ment of Hepatobiliary Surgery of the First Affiliated Hospital of Chong Qing Medical University from June 2005 to September 2015 were retrospective analyzed. Results Of 8 patients, 2 werecured by simple repair, 3 were cured by Oddis sphincter incision, one was cured by bile duct jejunum Roux-en- Y anastomosis, one was cured by pancreatieoduodenectomy, and one was cured by active external drainage. The length of hospital stay was between 22 and 46 days and the average length of hospital stay was 31.5 days. Conclusions The individual treatment according to different injured part, fistula size, complication, diagnosis time, and the prevention and timely therapy are very important.
出处
《腹部外科》
2016年第1期41-44,共4页
Journal of Abdominal Surgery
关键词
胆总管下段
医源性损伤
胆道再手术
Distal common bile duct
Iatrogenic injury
Biliary tract reoperation
